Individual
DR. EMILY A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02004694A
IN
208600000X
Surgery Physician
Primary
5101018742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043537020
—
MI
01
—
PENDING
RAILROAD MEDICARE PIN
IN
05
—
PENDING
—
IN
Enumeration date
04/29/2010
Last updated
08/02/2024
Update your record
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